Individual provider Active NPI

Camilla P Brito, PA-C

  • Physician Assistant
  • St Petersburg, FL
National Provider Identifier
1386386662
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115458 Issued in FL
Practice address
11201 Corporate Cir N Ste 140
Saint Petersburg, FL 33716-3701
Phone
(727) 321-3854
Fax
(727) 800-5829
NPI assigned
Apr 8, 2022
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9115458 FL Primary

Addresses

Primary practice location

11201 Corporate Cir N Ste 140
Saint Petersburg, FL 33716-3701

Mailing address

701 94TH Ave N Ste 250
Saint Petersburg, FL 33702-2448
Phone (727) 321-3854

Other identifiers 1

IdentifierTypeStateIssuer
113951700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220513000046 FL Practitioner - Physician Assistant 5092192013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metropolitan Charities IncGroup PAC ID 2163668286, 17 clinicians

Practice addresses (Care Compare)

11201 Corporate Cir N
Suite 140
Saint Petersburg, FL 33716-3701
Phone (727) 321-3854

1315 7TH Ave N
Tampa, FL 33605-3607
Phone (813) 232-3808

18167 US Hwy 19 N
Suite 150
Cleawater, FL 33713-8844
Phone (727) 321-3854

2235 Central Ave
Saint Petersburg, FL 33713-8844
Phone (727) 321-3854

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115458FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. Physician Assistant CurrentSince Apr 8, 2022 Accepting new patients
MCR Health, Inc. CurrentSince Apr 8, 2022 Accepting new patients

Locations

101 Riverfront Blvd
Ste 710
Bradenton, FL 34205

5600 Bayshore Rd
Palmetto, FL 34221
Phone (941) 721-2020

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1386386662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 94TH AVE N STE 250",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337022448",
            "telephone_number": "727-321-3854",
            "fax_number": "727-800-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 CORPORATE CIR N STE 140",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337163701",
            "telephone_number": "727-321-3854",
            "fax_number": "727-800-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITO",
        "first_name": "CAMILLA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113951700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.